| NPI | 1134631070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-74552) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL CCM100323) |
| 363A00000X Physician Assistant (Licence: PR 2781) | |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2025-10-04 |